Comparative Effects of Hypopressive and Split Tummy Exercises in Postpartum Diastasis Recti

Comparative Effects of Hypopressive and Split Tummy Exercises on Lifestyle, Inter Recti Distance, Strength and Function of Pelvic Floor Muscles in Postpartum Diastasis Recti

To compare the effects of hypopressive exercises and split tummy (transverse abdominal activation-based) exercises on inter-recti distance (IRD), pelvic floor muscle strength and function, and overall quality of life improvements in postpartum women with diastasis recti. This study will be randomized clinical trial and will be conducted in Hameed Latif Hospital Lahore and Civil Hospital Sukkur. The total duration of treatment will be 8 week. Non-probability convenience sampling technique will be used and 50 participants will be recruited in study after randomization. The subjects will be divided into two groups. Group A will receive hypopressive exercise with baseline treatment abdominal binding. Group B will receive baseline treatment with split tummy exercises.

Postpartum diastasis recti abdominis (DRA) is a common condition affecting women after childbirth, characterized by the separation of the rectus abdominis muscles along the linea alba. This condition can lead to core instability, pelvic floor dysfunction, back pain, and a negative impact on daily function and quality of life. Rehabilitation through exercise is considered a primary non-surgical treatment. However, the most effective approach to improving both physical parameters and overall lifestyle remains under investigation.

To compare the effects of hypopressive exercises and split tummy (transverse abdominal activation-based) exercises on inter-recti distance (IRD), pelvic floor muscle strength and function, and overall quality of life improvements in postpartum women with diastasis recti. This study will be randomized clinical trial and will be conducted in Hameed Latif Hospital Lahore and Civil Hospital Sukkur. The total duration of treatment will be 8 week. Non-probability convenience sampling technique will be used and 50 participants will be recruited in study after randomization. The subjects will be divided into two groups. Group A will receive hypopressive exercise with baseline treatment abdominal binding. Group B will receive baseline treatment with split tummy exercises. The tools that will be used are digital vernier scale use for inter recti distance, oswestry disability index (ODI), Oxford Grading scale system use for strength and function of pelvic floor muscles and quality of life questionnaire. Data will be analyzed using SPSS version 21. With the significant P value < 0.05.

Inclusion Criteria:

• Age: 24 to 40years
• Weight: 50 to 70kg
• Height: 4.5 to 6ft
• BMI: Both underweight and overweight/ obese individuals can experience DRA.
• Parity: Multiparous
• Mode of delivery: vaginal delivery in split tummy.
• Subjects who gave vaginal birth with or without episiotomy in multiparous women in hypopressive.

Exclusion Criteria:

• Undergoing a severe illness
• Uncompleted inter-rectus distance (IRD) records
• Have a history of pelvic floor dysfunction
• Primiparous, polyhydramnios, uterine fibroids during pregnancy, previous abdominal, surgery caesarean delivery
• Subjects with untreated high blood pressure, cardiovascular illness, hernia, pregnant and underwent any recent surgeries.